After the root canal treatment on tooth 33, everything was normal, but two days after the canal was widened, I started to feel discomfort when biting, and there is also discomfort when tapping. The gums below are sore?
After the root canal treatment on tooth 33, the dentist advised to wait a month before performing the apicoectomy.
During that month, everything felt fine and I was able to bite without discomfort.
However, two days after the apicoectomy, I started to feel discomfort while biting and tapping on the tooth.
The gum below tooth 33 is sore, and I felt a sensation of the instrument touching the gum during the procedure.
Could the apicoectomy needle have injured the gum or caused a fracture at the root apex? What can be done to improve this situation?
Hong Qinghe, 50~59 year old female. Ask Date: 2016/07/24
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Hong Qinghe,
Hello! Root canal treatment, also known as endodontic therapy, can sometimes cause discomfort during the procedure, which is common.
However, you will gradually heal after the treatment is completed! You may take pain relievers to alleviate any discomfort during this time.
In fact, root canal treatments often involve complex accessory canals at the apex, which can lead to discomfort.
Please communicate frequently with your dentist.
Thank you! Wishing you safety and health!
Sincerely,
Dr.
Huang Tingfang, Dentistry
Reply Date: 2016/07/24
More Info
Post-root canal discomfort, particularly in tooth 33, can be a frustrating experience for patients. It is essential to understand the potential causes of this discomfort and the appropriate solutions to alleviate it.
After a root canal treatment, the tooth is often left in a sensitive state as it heals. The initial phase of healing can be relatively pain-free, as you experienced during the month before the canal was widened. However, once the canal is expanded, it can lead to various complications that may cause discomfort.
Causes of Discomfort
1. Trauma to the Gum Tissue: During the process of widening the canal, the instruments used can inadvertently cause trauma to the surrounding gum tissue. If the instruments were pushed too far or if there was excessive pressure, this could lead to inflammation and soreness in the gums, which may explain the discomfort you are feeling.
2. Infection or Inflammation: If there was any residual infection in the tooth or surrounding area that was not adequately addressed during the initial treatment, the widening of the canal could exacerbate this issue. This can lead to increased sensitivity and discomfort, especially when biting down or tapping on the tooth.
3. Cracked Tooth Syndrome: If the root of the tooth is compromised during the procedure, it could lead to a crack that may not be immediately visible. This can cause pain when pressure is applied, such as when chewing or tapping on the tooth.
4. Improper Fit of the Temporary Filling: If the temporary filling placed after the root canal is not properly sealed or is too high, it can lead to discomfort when biting. This could also cause the tooth to feel sensitive to pressure.
5. Nerve Irritation: The process of root canal treatment involves manipulating the nerves within the tooth. Sometimes, the nerves can become irritated during the procedure, leading to lingering discomfort.
Solutions to Alleviate Discomfort
1. Follow-Up Appointment: It is crucial to return to your dentist for a follow-up appointment. They can assess the situation, check for any signs of infection, and determine if there is any trauma to the gum tissue or if the root has been compromised.
2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, it is essential to follow the recommended dosages and consult your dentist if the pain persists.
3. Avoid Hard Foods: While healing, it is advisable to avoid hard or chewy foods that may exacerbate the discomfort. Stick to softer foods that require less chewing.
4. Saltwater Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and promote healing in the gum tissue.
5. Dental Evaluation: If the discomfort continues or worsens, further evaluation may be necessary. This could include imaging studies to check for any cracks in the tooth or to assess the health of the surrounding bone and tissues.
6. Consider a Specialist: If your general dentist is unable to resolve the issue, you may be referred to an endodontist, a specialist in root canal treatments, who can provide a more in-depth evaluation and treatment options.
In summary, while discomfort after a root canal treatment can be common, especially after procedures like widening the canal, it is essential to monitor the symptoms and seek professional advice if the discomfort persists. Proper follow-up care and communication with your dental provider are key to ensuring a successful recovery and maintaining the health of tooth 33.
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